Registered Nurse - Disease Management - Health Net, Inc. - Rancho Cordova, CA

Registered Nurse - Disease Management - Health Net, Inc. - Rancho Cordova, CA -

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Job Abstract

The Disease Management Specialist might embrace one or two areas of focus in help of illness management schooling and useful resource well being info providers to beneficiaries experiencing way of life modifications, private stress, nervousness and/or melancholy. This consists of offering preliminary screening for appropriateness and sort of data, whether or not native or nationwide assets, whereas engaged on the phone to empower the beneficiary to raised self handle the illness and communication with their supplier.

Important Duties & Obligations

Outbound Schooling:
One-on-one and group based mostly illness management schooling by phone.

Preliminary and publish-intervention affected person evaluation.

Program planning and replace conferences.

Inbound Useful resource Line Schooling:
One-on-one and group heath useful resource info.

Conducts temporary wants evaluation to help the beneficiary and determine assets wanted to help with the suitable situation introduced by the beneficiary and/or group.

Cross-practical duties:
Maintains present info on out there assets together with packages obtainable, value, and useful resource contact info.

Conducts particular person wants assessments and supplies associated useful resource info to beneficiaries.

Conducts temporary publish intervention comply with-up calls.

Develops and maintains insurance policies and procedures.

Mediates calls to subsequent degree inside the group of affected person/beneficiary service supply appropriateness.

Obtains persevering with schooling/coaching as required by supervisor.

Schooling

Diploma or associated schooling for illness specialty

Certification/Licensure Required

Certification and/or License requirement varies based mostly on space of illness management specialty. Candidate might have one of many following: Licensed Medical Social Employee (LCSW), Respiratory Therapist, Diabetes Educator, Marriage and Household Therapist or Registered Nurse (RN), and choice that candidate is working towards a Medical License inside software of specified space is very fascinating.

Authorities Clearance & US Citizenship Requirement
N/A

Expertise Required

Minimal two years expertise with illness-particular schooling, both outbound or useful resource line service

OR

Any mixture of educational schooling, skilled coaching or work expertise, which demonstrates the power to carry out the duties of the place.

Information, Expertise & Talents

Demonstrated information of illness course of and its management, together with useful resource line information

Capacity to encourage sufferers to vary by way of information and possession of self-empowerment

Robust organizational and time management expertise

Excellent written and verbal communication expertise

Wonderful customer support expertise

Proficiency in Phrase, Lotus (notes), and Entry

Working Circumstances

The next part describes the overall bodily necessities for this place. Please word that fixed refers to greater than 81% of time; vital refers to 40-80%; and average refers to 20-40% of the time.
Operates private computer systems, printers, facsimile, telephones, copy machines and different generally used workplace equipment/gear.
Uncovered to confidential info and anticipated to take care of confidentiality always; should adhere to HIPAA guidelines and laws.
Could also be required to work outdoors of usually scheduled hours as mandated by the shopper, venture and/or workload (e.g. evenings, weekends, and/or holidays).
Could also be required to take care of established work tempo, meet deadlines; might have final minute pressing requests.
Bodily exercise might embrace: twisting, reaching, kneeling, bending, stooping, squatting, crawling, greedy, grabbing, pushing, pulling, repetitive movement, climbing, and so forth.
Required to have visible acuity to find out the accuracy, neatness, and thoroughness of the work assigned.
Required to have listening to capability to obtain detailed info by means of oral communication.
Required to have talking capacity to precise or trade concepts.
Fixed focus could also be required on numerous topics by listening, studying and considering clearly.
Interplay with others could also be required. Might have to pay attention, assume, and converse so as to work together with others. Enterprise interactions and conduct between coworkers and/or exterior clients are required. This will likely require face-to-face or phone interactions.
Considering at work might embrace listening, studying, analyzing, evaluating, and the power to interpret what’s seen and/or heard, or to hyperlink info from one problem to the subsequent.
Fixed pc utilization together with typing and/or eye pressure.
Fixed repetitive arm, wrist, hand and finger motions — making repetitive actions (e.g. key boarding, submitting, knowledge entry).
Fixed telephone utilization; headsets could also be required.
Fixed period of time spent working in a loud workplace surroundings with frequent interruptions/distractions.
Fixed sedentary work (desk sure or seated).
Fixed studying is required by way of pc display and/or sure printed supplies.

Disclaimer
DISCLAIMER: The above statements are meant to explain the overall nature and degree of labor being carried out by people assigned to this job. They don’t seem to be meant to be construed as an exhaustive record of obligations, duties and expertise required of personnel so categorised.
Health Internet, Inc. helps a drug-free work surroundings and requires
pre-employment background and drug screening.

Health Internet and its subsidiaries are an Equal Alternative/Affirmative Motion
Employer – Minorities/Females/Veterans/Incapacity

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